sb/hs/rg.
Date : 00.00.00
Name of the Patient : Abc Xyzlal Kaplmn / M / 70 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O RTA on 00.00.00 with loss of consciousness since then.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted , proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
OBSERVATION :
There is seen a right cerebral convexity, subdural hematoma with a maximum width of about 8.0 mms. This lesion is slightly hyperintense to normal brain parenchyma on the T1 Weighted and FLAIR images and appears relatively hypointense on the T2 Weighted and FLAIR images. There is resultant sulcal space effacement in the right cerebral hemisphere with minimal compression on the right lateral ventricle and mild bulge of the midline to the left.
Evidence of subarachnoid haemorrhage is also noted in the sulcal spaces in the right cerebral convexity adjacent to the cerebellar folia and to a lesser extent in the left posterior parietal region. Small, left high parietal/posterior parietal subdural hematomas are also noted. There is seen an ill-defined, hyperintense signal on the proton, T2 Weighted and FLAIR images along the right fronto-temporal cortex. This lesion appears hypointense to normal gray matter on the T1 Weighted images and represents cortical contusions, in the given clinical setting.
An ill-defined, hyperintense signal on the T2 Weighted and FLAIR images is also noted in the body of the corpus callosum, which may represent diffuse axonal injury, in the given clinical setting.
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Intraventricular haemorrhage is noted in the body and atrium
of the left lateral ventricle, which is of intermediate signal on the T1 Weighted images and relatively hypointense on the T2 Weighted images.
Soft tissue is noted in the paranasal sinuses bilaterally which may represent ? blood (due to trauma) or may represent inflammatory changes.
A subgaleal hematoma is noted in the left posterior parietal region.
The third and the fourth ventricles are normal. No obvious vascular anomaly is identified on this study.
IMPRESSION :
1. A right cerebral convexity, subdural hematoma with a maximum width of about 8.0 mms
2. Subarachnoid haemorrhage in the sulcal spaces in the right cerebral convexity adjacent to the cerebellar folia and to a lesser extent in the left posterior parietal region.
3. Small, left high parietal/posterior parietal subdural hematoma.
4. Altered signal along the right fronto-temporal cortex
most likely represents cortical contusions, in the given clinical setting.
5. Altered signal in the body of the corpus callosum may represent diffuse axonal injury, in the given clinical setting.
6. Intraventricular haemorrhage in the body and atrium of the left lateral ventricle.
7. A subgaleal hematoma in the left posterior parietal region.
8. Soft tissue in the paranasal sinuses bilaterally may represent ? blood ?? inflammatory changes.